Arthur Conan Doyle

Round the Red Lamp: Being Facts and Fancies of Medical Life


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a broad neck just above him containing bluestone, and another narrower one with what looked like the ruins of a broken pipestem and "Caustic" outside upon a red label. Thermometers, hypodermic syringes bistouries and spatulas were scattered about both on the mantelpiece and on the central table on either side of the sloping desk. On the same table, to the right, stood copies of the five books which Dr. Horace Selby had written upon the subject with which his name is peculiarly associated, while on the left, on the top of a red medical directory, lay a huge glass model of a human eye the size of a turnip, which opened down the centre to expose the lens and double chamber within.

      Sir Francis Norton had never been remarkable for his powers of observation, and yet he found himself watching these trifles with the keenest attention. Even the corrosion of the cork of an acid bottle caught his eye, and he wondered that the doctor did not use glass stoppers. Tiny scratches where the light glinted off from the table, little stains upon the leather of the desk, chemical formulae scribbled upon the labels of the phials—nothing was too slight to arrest his attention. And his sense of hearing was equally alert. The heavy ticking of the solemn black clock above the mantelpiece struck quite painfully upon his ears. Yet in spite of it, and in spite also of the thick, old-fashioned wooden partition, he could hear voices of men talking in the next room, and could even catch scraps of their conversation. "Second hand was bound to take it." "Why, you drew the last of them yourself!"

      "How could I play the queen when I knew that the ace was against me?" The phrases came in little spurts falling back into the dull murmur of conversation. And then suddenly he heard the creaking of a door and a step in the hall, and knew with a tingling mixture of impatience and horror that the crisis of his life was at hand.

      Dr. Horace Selby was a large, portly man with an imposing presence. His nose and chin were bold and pronounced, yet his features were puffy, a combination which would blend more freely with the wig and cravat of the early Georges than with the close-cropped hair and black frock-coat of the end of the nineteenth century. He was clean shaven, for his mouth was too good to cover—large, flexible, and sensitive, with a kindly human softening at either corner which with his brown sympathetic eyes had drawn out many a shame-struck sinner's secret. Two masterful little bushy side-whiskers bristled out from under his ears spindling away upwards to merge in the thick curves of his brindled hair. To his patients there was something reassuring in the mere bulk and dignity of the man. A high and easy bearing in medicine as in war bears with it a hint of victories in the past, and a promise of others to come. Dr. Horace Selby's face was a consolation, and so too were the large, white, soothing hands, one of which he held out to his visitor.

      "I am sorry to have kept you waiting. It is a conflict of duties, you perceive—a host's to his guests and an adviser's to his patient. But now I am entirely at your disposal, Sir Francis. But dear me, you are very cold."

      "Yes, I am cold."

      "And you are trembling all over. Tut, tut, this will never do! This miserable night has chilled you. Perhaps some little stimulant——"

      "No, thank you. I would really rather not. And it is not the night which has chilled me. I am frightened, doctor."

      The doctor half-turned in his chair, and he patted the arch of the young man's knee, as he might the neck of a restless horse.

      "What then?" he asked, looking over his shoulder at the pale face with the startled eyes.

      Twice the young man parted his lips. Then he stooped with a sudden gesture, and turning up the right leg of his trousers he pulled down his sock and thrust forward his shin. The doctor made a clicking noise with his tongue as he glanced at it.

      "Both legs?"

      "No, only one."

      "Suddenly?"

      "This morning."

      "Hum."

      The doctor pouted his lips, and drew his finger and thumb down the line of his chin. "Can you account for it?" he asked briskly.

      "No."

      A trace of sternness came into the large brown eyes.

      "I need not point out to you that unless the most absolute frankness——"

      The patient sprang from his chair. "So help me God!" he cried, "I have nothing in my life with which to reproach myself. Do you think that I would be such a fool as to come here and tell you lies. Once for all, I have nothing to regret." He was a pitiful, half-tragic and half-grotesque figure, as he stood with one trouser leg rolled to the knee, and that ever present horror still lurking in his eyes. A burst of merriment came from the card-players in the next room, and the two looked at each other in silence.

      "Sit down," said the doctor abruptly, "your assurance is quite sufficient." He stooped and ran his finger down the line of the young man's shin, raising it at one point. "Hum, serpiginous," he murmured, shaking his head. "Any other symptoms?"

      "My eyes have been a little weak."

      "Let me see your teeth." He glanced at them, and again made the gentle, clicking sound of sympathy and disapprobation.

      "Now your eye." He lit a lamp at the patient's elbow, and holding a small crystal lens to concentrate the light, he threw it obliquely upon the patient's eye. As he did so a glow of pleasure came over his large expressive face, a flush of such enthusiasm as the botanist feels when he packs the rare plant into his tin knapsack, or the astronomer when the long-sought comet first swims into the field of his telescope.

      "This is very typical—very typical indeed," he murmured, turning to his desk and jotting down a few memoranda upon a sheet of paper. "Curiously enough, I am writing a monograph upon the subject. It is singular that you should have been able to furnish so well-marked a case." He had so forgotten the patient in his symptom, that he had assumed an almost congratulatory air towards its possessor. He reverted to human sympathy again, as his patient asked for particulars.

      "My dear sir, there is no occasion for us to go into strictly professional details together," said he soothingly. "If, for example, I were to say that you have interstitial keratitis, how would you be the wiser? There are indications of a strumous diathesis. In broad terms, I may say that you have a constitutional and hereditary taint."

      The young baronet sank back in his chair, and his chin fell forwards upon his chest. The doctor sprang to a side-table and poured out half a glass of liqueur brandy which he held to his patient's lips. A little fleck of colour came into his cheeks as he drank it down.

      "Perhaps I spoke a little abruptly," said the doctor, "but you must have known the nature of your complaint. Why, otherwise, should you have come to me?"

      "God help me, I suspected it; but only today when my leg grew bad. My father had a leg like this."

      "It was from him, then——?"

      "No, from my grandfather. You have heard of Sir Rupert Norton, the great Corinthian?"

      The doctor was a man of wide reading with a retentive, memory. The name brought back instantly to him the remembrance of the sinister reputation of its owner—a notorious buck of the thirties—who had gambled and duelled and steeped himself in drink and debauchery, until even the vile set with whom he consorted had shrunk away from him in horror, and left him to a sinister old age with the barmaid wife whom he had married in some drunken frolic. As he looked at the young man still leaning back in the leather chair, there seemed for the instant to flicker up behind him some vague presentiment of that foul old dandy with his dangling seals, many-wreathed scarf, and dark satyric face. What was he now? An armful of bones in a mouldy box. But his deeds— they were living and rotting the blood in the veins of an innocent man.

      "I see that you have heard of him," said the young baronet. "He died horribly, I have been told; but not more horribly than he had lived. My father was his only son. He was a studious man, fond of books and canaries and the country; but his innocent life did not save him."

      "His symptoms were cutaneous, I understand."

      "He wore gloves in the house. That was the first thing I can remember. And